,i #aac? ,,congress #a/ ,session ,h4 ,r4 #abfc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #ai1 #bjac ,ms4 ,matsui 7= h]self1 ,mr4 ,lance1 ,mr4 ,waxman1 ,mr4 ,engel1 ,ms4 ,de,gette1 & ,ms4 ,j5k9s7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to increase access to community behavioral heal? s]vices = all ,am]icans & to improve ,m$icaid reimbursem5t = community behavioral heal? s]vices4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,excell5ce 9 ,m5tal ,heal? ,act4 #b4 ,e/abli%+ community behavioral heal? c5t]s 7a7 ,9 g5]al ,section #aiac ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b7 is am5d$-- 7#a7 9 subsection 7a77#b77;,a71 by /rik+ community m5tal heal? s]vices & ins]t+ behavioral heal? s]vices 7( ! type (f]$ by a c]tifi$ f$]ally qualifi$ community behavioral heal? c5t]72 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by /rik+ community m5tal heal? c5t]s & ins]t+ c]tifi$ f$]ally qualifi$ community behavioral heal? c5t]s2 & 7,b7 9 p>agraph 7#b71 by /rik+ community m5tal heal? c5t]s & ins]t+ c]tifi$ f$]ally qualifi$ community behavioral heal? c5t]s2 & 7#c7 by /rik+ subsection 7c7 & ins]t+ ! foll[+3 7c7 ,c]tifi$ ,f$]ally ,qualifi$ ,community ,behavioral ,heal? ,c5t]s 7#a7 ,def9ition ,= purposes ( subsection 7a77#b7 & subsection 7b71 ! t]m c]tifi$ f$]ally qualifi$ community behavioral heal? c5t] means a nonpr(it or local gov]nm5t c5t] t is c]tifi$ by ! ,secret>y z p]=m+ ea* ( ! foll[+ actions3 7,a7 ,provid+ s]vices 9 locations t ensure s]vices w be available & accessible promptly & 9 a mann] :i* pres]ves human dignity & assures cont9uity ( c>e4 7,b7 ,provid+ s]vices 9 a mode ( s]vice deliv]y appropriate = ! t>get population4 7,c7 ,provid+ individuals ) a *oice ( s]vice options :]e !re is m ?an "o efficaci\s treatm5t4 7,d7 ,employ+ a core /aff ( cl9ical /aff t is multidiscipl9>y & culturally & l+ui/ically compet5t4 7,e7 ,provid+ s]vices1 )9 ! limits ( ! capacities ( ! c5t]1 to any individual resid+ or employ$ 9 ! s]vice area ( ! c5t]1 reg>dless ( ! ability ( ! individual to pay4 7,f7 ,provid+1 directly or ?r\gh contract1 to ! ext5t cov]$ = adults 9 ! ,/ate ,m$icaid plan "u title ,,xix ( ! ,social ,security ,act & = *ildr5 9 accordance ) section #aije7r7 ( su* ,act reg>d+ e>ly & p]iodic scre5+1 diagnosis1 & treatm5t1 ea* ( ! foll[+ s]vices3 7i7 ,scre5+1 assessm5t1 & diagnosis1 includ+ risk assessm5t4 7ii7 ,p]son-c5t]$ treatm5t plann+ or simil> processes1 includ+ risk assessm5t & crisis plann+4 7iii7 ,outpati5t m5tal heal? & sub/ance use s]vices1 includ+ scre5+1 assessm5t1 diagnosis1 psy*o!rapy1 m$ication managem5t1 & integrat$ treatm5t = m5tal illness & sub/ance abuse :i* %all be evid5ce-bas$ 7includ+ cognitive behavioral !rapy & o!r su* !rapies :i* are evid5ce-bas$74 7iv7 ,outpati5t cl9ic prim>y c>e scre5+ & monitor+ ( key heal? indicators & heal? risk 7includ+ scre5+ = diabetes1 hyp]t5sion1 & c>diovascul> disease & monitor+ ( weight1 height1 body mass index 7,,bmi71 blood pressure1 blood glucose or ,hb,a#a;,c1 & lipid pr(ile74 7v7 ,crisis m5tal heal? s]vices1 includ+ #bd-;h\r mobile crisis teams1 em]g5cy crisis int]v5tion s]vices1 & crisis /abilization4 7vi7 ,t>get$ case managem5t 7s]vices to assi/ individuals ga9+ access to ne$$ m$ical1 social1 educational1 & o!r s]vices & apply+ = income security & o!r b5efits to :i* !y may be entitl$74 7vii7 ,psy*iatric rehabilitation s]vices includ+ skills tra9+1 ass]tive community treatm5t1 family psy*o$ucation1 disability self-managem5t1 support$ employm5t1 support$ h\s+ s]vices1 !rapeutic fo/] c>e s]vices1 & su* o!r evid5ce-bas$ practices z ! ,secret>y may require4 7viii7 ,pe] support & c\nselor s]vices & family supports4 7,g7 ,ma9ta9+ l9kages1 & :]e possible ent]+ into =mal contracts ) ! foll[+3 7i7 ,f$]ally qualifi$ heal? c5t]s4 7ii7 ,inpati5t psy*iatric facilities & sub/ance use detoxification1 po/ detoxification /ep-d[n s]vices1 & resid5tial programs4 7iii7 ,adult & y\? pe] support & c\nselor s]vices4 7iv7 ,family support s]vices = families ( *ildr5 ) s]i\s m5tal or sub/ance abuse disord]s4 7v7 ,o!r community or regional s]vices1 supports1 & provid]s1 includ+ s*ools1 *ild welf>e ag5cies1 juv5ile & crim9al ju/ice ag5cies & facilities1 h\s+ ag5cies & programs1 employ]s1 & o!r social s]vices4 7vi7 ,onsite or (fsite access to prim>y c>e s]vices4 7vii7 ,enabl+ s]vices1 includ+ outrea*1 transportation1 & translation4 7viii7 ,heal? & wellness s]vices1 includ+ s]vices = tobacco cessation4 7#b7 ,frequ5cy ( c]tification ,c]tification "u p>agraph 7#a7 %all be = a #e-ye> p]iod4 ,! ,adm9i/rator %all provide an opportunity = rec]tification at ! end ( ea* c]tification p]iod4 7#c7 ,rule ( con/ruction ,no?+ 9 p>agraph 7#a7 %all be con/ru$ z prohibit+ any ,/ate receiv+ funds appropriat$ ?r\gh ! ,community ,m5tal ,heal? ,s]vices ,block ,grant "u ?is subp>t f f9anc+ qualifi$ community programs 7:e!r su* programs meet ! def9ition ( eligible programs prior to or aft] ! date ( enactm5t ( ! ,excell5ce 9 ,m5tal ,heal? ,act74 4 7b7 ,regulations ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ,/ate m5tal heal? & sub/ance abuse au?orities1 %all issue f9al regulations = c]tify+ nonpr(it or local gov]nm5t c5t]s "u subsection 7c7 ( section #aiac ( ! ,public ,heal? ,s]vice ,act1 z am5d$ by ?is section4 #c4 ,m$icaid cov]age & paym5t = community behavioral heal? c5t] s]vices 7a7 ,paym5t = s]vices provid$ by f$]ally qualifi$ community behavioral heal? c5t]s ,section #aijb7;bb7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7bb77 is am5d$-- 7#a7 9 ! head+1 by /rik+ & ,rural ,heal? ,cl9ics & ins]t+ 1 ,select$ ,c]tifi$ ,f,q,c,b,h,cs1 & ,rural ,heal? ,cl9ics2 7#b7 9 p>agraph 7#a71 by ins]t+ 7& beg9n+ ) fiscal ye> #bjad ) respect to s]vices furni%$ on or aft] ,janu>y #a1 #bjad1 & ea* succe$+ fiscal ye>1 = s]vices describ$ 9 section #aije7;a77#b77;,d7 furni%$ by a select$ c]tifi$ ,,fqcbhc7 aft] by a rural heal? cl9ic2 7#c7 9 p>agraph 7#b7-- 7,a7 by /rik+ ! head+ & ins]t+ ,initial fiscal ye>2 7,b7 by ins]t+ 7or1 9 ! case ( s]vices describ$ 9 section #aije7;a77#b77;,d7 furni%$ by a select$ c]tifi$ ,,fqcbhc1 = s]vices furni%$ on & aft] ,janu>y #a1 #bjad1 dur+ fiscal ye> #bjad7 aft] ,janu>y #a1 #bjja1 dur+ fiscal ye> #bjja2 7,c7 by ins]t+ 7or1 9 ! case ( s]vices describ$ 9 section #aije7;a77#b77;,d7 furni%$ by a select$ c]tifi$ ,,fqcbhc1 dur+ fiscal ye>s #bjab & #bjac7 aft] #aiii & #bjjj2 & 7,d7 by ins]t+ 7or1 9 ! case ( s]vices describ$ 9 section #aije7;a77#b77;,d7 furni%$ by a select$ c]tifi$ ,,fqcbhc1 dur+ fiscal ye> #bjad7 be=e ! p]iod2 7#d7 9 p>agraph 7#c7-- 7,a7 9 ! head+1 by /rik+ ,fiscal ye> #bjjb & succe$+ & ins]t+ ,succe$+2 & 7,b7 by ins]t+ 7or1 9 ! case ( s]vices describ$ 9 section #aije7;a77#b77;,d7 furni%$ by a select$ c]tifi$ ,,fqcbhc1 = s]vices furni%$ dur+ fiscal ye> #bjae or a succe$+ fiscal ye>7 aft] #bjjb or a succe$+ fiscal ye>2 7#e7 9 p>agraph 7#d7-- 7,a7 by ins]t+ 7or z a select$ c]tifi$ ,,fqcbhc aft] fiscal ye> #bjac7 aft] or rural heal? cl9ic aft] fiscal ye> #bjjj2 7,b7 by /rik+ furni%$ by ! c5t] or & ins]t+ furni%$ by ! f$]ally qualifi$ heal? c5t]1 s]vices describ$ 9 section #aije7;a77#b77;,d7 furni%$ by ! select$ c]tifi$ ,,fqcbhc1 or2 & 7,c7 9 ! second s5t5ce1 by /rik+ or rural heal? cl9ic & ins]t+ 1 select$ c]tifi$ ,,fqcbhc1 or rural heal? cl9ic2 7#f7 9 p>agraph 7#e71 9 ea* ( subp>agraphs 7,a7 & 7,b71 by /rik+ or rural heal? cl9ic & ins]t+ 1 select$ c]tifi$ ,,fqcbhc1 or rural heal? cl9ic2 7#g7 9 p>agraph 7#f71 by /rik+ or to a rural heal? cl9ic & ins]t+ 1 to a select$ c]tifi$ ,,fqcbhc = s]vices describ$ 9 section #aije7;a77#b77;,d71 or to a rural heal? cl9ic2 & 7#h7 by add+ at ! end ! foll[+3 7#g7 ,select$ c]tifi$ ,,fqcbhc ,= purposes ( ?is subsection1 ! t]m select$ c]tifi$ ,,fqcbhc %all h ! mean+ giv5 su* t]m 9 section #aije7l77#d77;,b74 4 7b7 ,inclusion ( community behavioral heal? c5t] s]vices 9 ! t]m m$ical assi/ance ,section #aije7;a77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77#b77 is am5d$-- 7#a7 by /rik+ & be=e 7,c72 & 7#b7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 1 & 7,d7 f$]ally qualifi$ community behavioral heal? c5t] s]vices 7z def9$ 9 subsection 7l77#d774 7c7 ,def9ition ( f$]ally qualifi$ community behavioral heal? c5t] s]vices ,section #aije7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l77 is am5d$ by add+ at ! end ! foll[+ p>agraph3 7#d7 7,a7 ,! t]m community behavioral heal? c5t] s]vices means s]vices furni%$ to an individual at a select$ c]tifi$ ,,fqcbhc 7z def9$ by subp>agraph 7,b774 7,b7 ,! t]m select$ c]tifi$ ,,fqcbhc means1 ) respect to a fiscal ye>1 a c]tifi$ f$]ally qualifi$ community behavioral heal? c5t] t is select$ by ! ,secret>y "u subp>agraph 7,d7 = su* fiscal ye>4 7,c7 ,) respect to a fiscal ye>1 = purposes ( ?is p>agraph1 an entity is a c]tifi$ f$]ally qualifi$ community behavioral heal? c5t] = su* fiscal ye> if ! entity is a c]tifi$ f$]ally qualifi$ community behavioral heal? c5t] "u section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act = su* fiscal ye>4 7,d7 7i7 ,= purposes ( ?is section & section #aijb7;bb7-- 7,i7 = fiscal ye>s #bjad ?r\gh #bjah1 ! ,secret>y %all select #bj p]c5t ( ! total numb] ( c]tifi$ f$]ally qualifi$ community behavioral heal? c5t]s2 7,,ii7 = fiscal ye>s #bjai ?r\gh #bjbc1 ! ,secret>y %all select ! c]tifi$ f$]ally qualifi$ community behavioral heal? c5t]s select$ "u subclause 7,,ii7 & an additional #bj p]c5t ( ! total numb] ( c]tifi$ f$]ally qualifi$ community behavioral heal? c5t]s2 & 7,,iii7 = fiscal ye> #bjbd & subsequ5t fiscal ye>s1 ! ,secret>y %all select all c]tifi$ f$]ally qualifi$ community behavioral heal? c5t]s4 7ii7 ,9 mak+ ! selections "u subclauses 7,i7 & 7,,ii7 ( clause 7i71 ! ,secret>y %all-- 7,i7 ensure geographic div]sity ( ! select$ c]tifi$ ,f,q,c,b,h,cs2 & 7,,ii7 take into acc\nt ! ability ( su* c5t]s to provide ! s]vices requir$ by section #aiac ( ! ,public ,heal? ,s]vice ,act & to report data z requir$ "u ?is title4 4 #d4 ,community-bas$ m5tal heal? infra/ructure improvem5t ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is am5d$-- 7#a7 by r$esignat+ ! second "p ,g1 z add$ by section #add ( ! ,community ,r5ewal ,tax ,relief ,act ( #bjjj 7z enact$ into law by section #a7;a77#g7 ( ,public ,law #ajf-eed2 #aad ,/at4 #bgfc;,a-#fai71 z "p ,j2 7#b7 by r$esignat+ sections #eha ?r\gh #ehd 9 su* "p 7#db ,u4,s4,c4 #bijkk ?r\gh #bijkk-#c7 z sections #eie;,c ?r\gh #eie;,f1 respectively2 & 7#c7 by ins]t+ aft] "p ,j1 z s r$esignat$1 ! foll[+3 ,k ,community-bas$ m5tal heal? infra/ructure improvem5ts #eie;,g4 ,grants = community-bas$ m5tal heal? infra/ructure improvem5ts 7a7 ,grants au?oriz$ ,! ,secret>y may aw>d grants to eligible entities to exp5d funds = ! con/ruction or mod]nization ( facilities us$ to provide m5tal heal? & sub/ance abuse s]vices to individuals4 7b7 ,eligible entity ,9 ?is section1 ! t]m eligible entity means-- 7#a7 a ,/ate t is ! recipi5t ( a ,community ,m5tal ,heal? ,s]vices ,block ,grant "u subp>t ,i ( "p ,b ( title ,,xix & a ,sub/ance ,abuse ,prev5tion & ,treatm5t ,block ,grant "u subp>t ,,ii ( su* "p2 or 7#b7 an ,indian tribe or a tribal organization 7z su* t]ms are def9$ 9 sections #d7;b7 & #d7;c7 ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act74 7c7 ,application ,an eligible entity desir+ a grant "u ?is section %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+-- 7#a7 a plan = ! con/ruction or mod]nization ( facilities us$ to provide m5tal heal? & sub/ance abuse s]vices to individuals t-- 7,a7 designates a s+le ,/ate or tribal ag5cy z ! sole ag5cy = ! sup]vision & adm9i/ration ( ! grant2 7,b7 conta9s satisfactory evid5ce t su* ag5cy s designat$ w h ! au?ority to c>ry out ! plan2 7,c7 provides = ! designation ( an advisory c\ncil1 :i* %all include repres5tatives ( nongov]nm5tal organizations or gr\ps1 & ( ! relevant ,/ate or tribal ag5cies1 t aid$ 9 ! developm5t ( ! plan & t w implem5t & monitor any grant aw>d$ to ! eligible entity "u ?is section2 7,d7 9 ! case ( an eligible entity t is a ,/ate1 includes a copy ( ! ,/ate plan "u section #aiab7;b7 & section #aicb7;b72 7,e7 7i7 includes a li/+ ( ! projects to be fund$ by ! grant2 & 7ii7 9 ! case ( an eligible entity t is a ,/ate1 expla9s h[ ea* li/$ project helps ! ,/ate 9 accompli%+ its goals & objectives "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant "u subp>t ,i ( "p ,b ( title ,,xix & ! ,sub/ance ,abuse ,prev5tion & ,treatm5t ,block ,grant "u subp>t ,,ii ( su* "p2 7,f7 includes assurances t ! facilities w be us$ = a p]iod ( n less ?an #aj ye>s = ! provision ( community-bas$ m5tal heal? or sub/ance abuse s]vices = ^? :o _c pay = su* s]vices1 subject to subsection 7e72 & 7,g7 9 ! case ( a facility t is n a public facility1 includes ! "n & executive director ( ! entity :o w provide s]vices 9 ! facility2 & 7#b7 ) respect to ea* con/ruction or mod]nization project describ$ 9 ! application-- 7,a7 a description ( ! site = ! project2 7,b7 plans & specifications = ! project & ,/ate or tribal approval = ! plans & specifications2 7,c7 assurance t ! title = ! site is or w be ve/$ ) ei!r ! public entity or private nonpr(it entity :o w provide ! s]vices 9 ! facility2 7,d7 assurance t adequate f9ancial res\rces w be available = ! con/ruction or major rehabilitation ( ! project & = ! ma9t5ance & op]ation ( ! facility2 7,e7 e/imates ( ! co/ ( ! project2 & 7,f7 ! e/imat$ l5g? ( "t = completion ( ! project4 7d7 ,subgrants by ,/ates 7#a7 ,9 g5]al ,a ,/ate t receives a grant "u ?is section may aw>d a subgrant to a qualifi$ community program 7z su* t]m is us$ 9 section #aiac7;b77#a774 7#b7 ,use ( funds ,subgrants aw>d$ pursuant to p>agraph 7#a7 may be us$ = activities su* z-- 7,a7 ! con/ruction1 expansion1 & mod]nization ( facilities us$ to provide m5tal heal? & sub/ance abuse s]vices to individuals2 7,b7 acquir+ & leas+ facilities & equipm5t 7includ+ pay+ ! co/s ( amortiz+ ! pr9cipal (1 & pay+ ! int]e/ on1 loans = su* facilities & equipm5t7 to support or fur!r ! op]ation ( ! subgrantee2 7,c7 ! con/ruction & /ructural modification 7includ+ equipm5t acquisition7 ( facilities to p]mit ! integrat$ deliv]y ( behavioral heal? & prim>y c>e ( specialty m$ical s]vices to individuals ) co-occurr+ m5tal illnesses & *ronic m$ical or surgical diseases at a s+le s]vice site2 & 7,d7 acquir+ in=mation te*nology requir$ to accommodate ! cl9ical ne$s ( prim>y & specialty c>e pr(essionals4 7#c7 ,limitation ,n to exce$ #ae p]c5t ( grant funds may be us$ = activities describ$ 9 p>agraph 7#b77;,d74 7e7 ,reque/ ,to transf] obligation ,an eligible entity t receives a grant "u ?is section may submit a reque/ to ! ,secret>y = p]mission to transf] ! #aj-ye> obligation ( facility use1 z describ$ 9 subsection 7c77#a77;,f71 to ano!r facility4 7f7 ,agreem5t to ,f$]al %>e ,z a condition ( receipt ( a grant "u ?is section1 an eligible entity %all agree1 ) respect to ! co/s to be incurr$ by ! entity 9 c>ry+ out ! activities = :i* su* grant is aw>d$1 t ! entity w make available non-,f$]al contributions 7:i* may include ,/ate or local funds1 or funds f ! qualifi$ community program7 9 an am\nt equal to n less ?an #a = e #a ( ,f$]al funds provid$ "u ! grant4 7g7 ,report+ 7#a7 ,report+ by ,/ates ,dur+ ! #aj-ye> p]iod ref]r$ to 9 subsection 7c77#a77;,f71 ! ,secret>y %all require t a ,/ate t receives a grant "u ?is section submit1 z "p ( ! report ( ! ,/ate requir$ "u ! ,community ,m5tal ,heal? ,s]vices ,block ,grant "u subp>t ,i ( "p ,b ( title ,,xix & ! ,sub/ance ,abuse ,prev5tion & ,treatm5t ,block ,grant "u subp>t ,,ii ( su* "p1 a description ( ! progress on-- 7,a7 ! projects c>ri$ out pursuant to ! grant "u ?is section2 & 7,b7 ! assurances t ! facilities involv$ cont9ue to be us$ = ! purpose = :i* !y 7 fund$ "u su* grant dur+ su* #aj-ye> p]iod4 7#b7 ,report+ by ,indian tribes & tribal organizations ,! ,secret>y %all e/abli% report+ requirem5ts = ,indian tribes & tribal organizations t receive a grant "u ?is section4 ,su* report+ requirem5ts %all include t su* ,indian tribe or tribal organization provide a description ( ! progress on-- 7,a7 ! projects c>ri$ out pursuant to ! grant "u ?is section2 & 7,b7 ! assurances t ! facilities involv$ cont9ue to be us$ = ! purpose = :i* !y 7 fund$ "u su* grant dur+ ! #aj-ye> p]iod ref]r$ to 9 subsection 7c77#a77;,f74 7h7 ,failure ,to meet obligations 7#a7 ,9 g5]al ,if an eligible entity t receives a grant "u ?is section fails to meet any ( ! obligations ( ! entity requir$ "u ?is section1 ! ,secret>y %all take appropriate /eps1 :i* may include-- 7,a7 requir+ t ! entity return ! unus$ portion ( ! funds aw>d$ "u ?is section = ! projects t are incomplete2 & 7,b7 ext5d+ ! l5g? ( "t t ! entity mu/ ensure t ! facility involv$ is us$ = ! purposes = :i* x is int5d$1 z describ$ 9 subsection 7c77#a77;,f74 7#b7 ,he>+ ,prior to reque/+ ! return ( ! funds "u p>agraph 7#a77;,b71 ! ,secret>y %all provide ! entity notice & opportunity = a he>+4 7i7 ,collaboration ,! ,secret>y may e/abli% int]gov]nm5tal & int]dep>tm5tal memor&a ( agreem5t z necess>y to c>ry out ?is section4 7j7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section su* sums z may be necess>y = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 4